MR imaging reveals diffuse disc bulges at L4-5 and L5-S1 levels indenting the thecal sac with mild narrowing of bilateral neural foramina......................and doctor recommended me Laser surgery ...and don t know what to do at this age..Isn t there any solution out...as every doctor gives me his personal different advise...some says medicines and some exercise and some surgery and some says it is normal so don t be panic just take medicines

Hi Ayush,
MR image showing disc bulging is very common however it is very important in spine to match clinical symptoms and MRI finding. I need to know about the severity of the problem? location of pain? and your MRI images especially cuts at L4-5 and L5-S1. By the way what's your age right now?...

Hi..bharath.., the above reports of the x ray shows that, there is fusion of the 5th lumbar vertebra with sacrum.. hence there will be compression of the spinal cord in the vertebral canal..also there will be compression of the nerve roots.. hence there is pain.....

hi doctor
I have been suffering from my back injury since almost a year.I took an MRI and C.T scan.There was found to be an indentation on the thecal sac.I have been taking regular medicines and exercises,but there seems to be no cure.So do u suggest me to bear this pain for a little more expecting that it might get cured,or should i undergo surgery.PLEASE REPLY

Hello,Thanks for writing in.An indentation on thecal sac on MRI scan shows that there is pressure effect on the covering of the spinal cord..To give a beeter opinion on your immediate need for surgery, I would like to know your complete CT scan and MRI reports.There are many ponts to be...

Got MRI report of my mother who is 64 years old and the impression given is as follow. MRI Study shows degenerative spine changes with: Transitional verterbra at the lumbosacral junction(complete sacralisation of L5 Vertebra as counted from C1 level downwards) Diffuse bulge of the L3-L4 intervertebral disc with associated bilateral facetal degeneration and ligamentum flavum thickening causing secondary canal stenosis with thecal sac compression and bilateral foraminal narrowing Diffuse bulge of the L4-L5 intervertebral disc causing bilateral foraminal narrowing(R L) with thecal sac indentation. I want to know the treatment option for this condition

Hello and thanks for the query
The best treatment as per MRI report is surgery but nothing can be said without the clinical examination of the patient. The decision can be only made by both clinical examination and MRI report. If the pain in legs are worse and numbness or weakness present than...

hi there if l have Indent Thecal Sac L2/3 4/5 5/si should thi s cause much pain...l also have Hypertrophic Facet Sac throughout ....Modic type 2 endplate at 2/5 L2/3 dehydrated and reduced.....l dont underatand my MRI could you please expalin .....there are no signs of Spinal Canal Stenosis or Discal Neural Compression....Thank you

I have sever pain in the lower lumbar area and l am on Butrans 20mg and Zapain 4000mg per day

Hi,
Your MRI spine describes the various features of degeneration of spine and vertebral body. Thecal sac is the space where roots from spinal cord comes out which is mildly indented.Hypertrophy facet is thickening and enlargement of joints between veretebra called facets.Modic type2 endplated...